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Targeting VLA4 integrin and CXCR2 mobilizes serially repopulating hematopoietic stem cells
Darja Karpova, … , Daniel C. Link, John F. DiPersio
Darja Karpova, … , Daniel C. Link, John F. DiPersio
Published May 14, 2019
Citation Information: J Clin Invest. 2019;129(7):2745-2759. https://doi.org/10.1172/JCI124738.
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Research Article

Targeting VLA4 integrin and CXCR2 mobilizes serially repopulating hematopoietic stem cells

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Abstract

Mobilized peripheral blood has become the primary source of hematopoietic stem and progenitor cells (HSPCs) for stem cell transplantation, with a 5-day course of granulocyte colony-stimulating factor (G-CSF) as the most common regimen used for HSPC mobilization. The CXCR4 inhibitor plerixafor is a more rapid mobilizer, yet not potent enough when used as a single agent, thus emphasizing the need for faster acting agents with more predictable mobilization responses and fewer side effects. We sought to improve hematopoietic stem cell transplantation by developing a new mobilization strategy in mice through combined targeting of the chemokine receptor CXCR2 and the very late antigen 4 (VLA4) integrin. Rapid and synergistic mobilization of HSPCs along with an enhanced recruitment of true HSCs was achieved when a CXCR2 agonist was coadministered in conjunction with a VLA4 inhibitor. Mechanistic studies revealed involvement of CXCR2 expressed on BM stroma in addition to stimulation of the receptor on granulocytes in the regulation of HSPC localization and egress. Given the rapid kinetics and potency of HSPC mobilization achieved by the VLA4 inhibitor and CXCR2 agonist combination in mice compared with currently approved HSPC mobilization methods, the combination represents an exciting potential strategy for clinical development in the future.

Authors

Darja Karpova, Michael P. Rettig, Julie Ritchey, Daniel Cancilla, Stephanie Christ, Leah Gehrs, Ezhilarasi Chendamarai, Moses O. Evbuomwan, Matthew Holt, Jingzhu Zhang, Grazia Abou-Ezzi, Hamza Celik, Eliza Wiercinska, Wei Yang, Feng Gao, Linda G. Eissenberg, Richard F. Heier, Stacy D. Arnett, Marvin J. Meyers, Michael J. Prinsen, David W. Griggs, Andreas Trumpp, Peter G. Ruminski, Dwight M. Morrow, Halvard B. Bonig, Daniel C. Link, John F. DiPersio

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Figure 4

CXCR2 expression in both the hematopoietic and nonhematopoietic (stromal) compartment contributes to tGro-induced mobilization.

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CXCR2 expression in both the hematopoietic and nonhematopoietic (stromal...
(A) Hematopoietic-specific CXCR2-KO mice were generated by transplanting lethally irradiated CD45.1+ recipients (BALB/cJ) with CD45.2+ BM cells isolated from CXCR2-KO mice (BALB/c, 1 × 106 cells per recipient, n = 3 BM donor mice). A control group was reconstituted with CD45.2+ WT BM cells (BALB/c, 1 × 106 cells per recipient, n = 3 BM donor mice). Stromal-specific knockouts were generated by transplanting CD45.1+ WT BM cells (BALB/cJ, 1 × 106 cells per recipient, n = 3 BM donors) into CXCR2-KO mice (CD45.2+). In the corresponding control group, WT CD45.2+ recipients were transplanted with the WT CD45.1+ BM graft. (B–D) Three months after transplantation, circulating HSPC numbers (Lin-kit+ cells) were assessed in the different recipients at baseline and following mobilization with CWHM-823 alone (3 mg/kg, 1 hour after s.c. injection, B), tGro-β alone (2.5 mg/kg, 15 minutes after s.c. injection, C), and both agents combined (dosed as indicated for separate treatments, 30 minutes after simultaneous s.c. injection, D). Each bar is mean ± SEM, n = 4–5. ***P < 0.001, **P < 0.01, *P < 0.05. (E) Lethally irradiated CXCR2fl/flCdh5Cre+ hosts (C57BL/6 background, CD45.2+) were reconstituted with syngeneic WT CD45.1+ BM (3 × 106 cells per recipient) to generate EC-specific knockout recipients. In the control group, CXCR2fl/+Cre+ and CXCR2+/+ Cre+ mice were used as recipients. Three months after transplantation, circulating HSPC (CFU-C) numbers were quantified at baseline and following mobilization with CWHM-823 alone (3 mg/kg, 1 hour after s.c. injection), tGro-β alone (2.5 mg/kg, 15 minutes after s.c. injection), and both agents combined (dosed as indicated for separate treatment, 30 minutes after simultaneous s.c. injection). Each bar is mean ± SEM, n = 6. Statistical comparisons were made using ANOVA, followed by step-down Bonferroni’s adjustment for multiple comparisons. Logarithm transformation was performed for the data in D and E.

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